Lasting Impact Speech Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

LASTING IMPACT SPEECH THERAPY

Practice address

8627 Mineral Ridge Way
Charlotte, NC 28269-6148

Phone

(803) 543-9988

NPI assigned

Jan 5, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shaverra Jones, CLINSCD, CCC-SLP

Title

Owner

Phone

(803) 543-9988

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578182400000",
    "number": "1023657202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8627 MINERAL RIDGE WAY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282696148",
            "telephone_number": "803-543-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8627 MINERAL RIDGE WAY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282696148",
            "telephone_number": "803-543-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASTING IMPACT SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-05",
        "last_updated": "2020-01-05",
        "certification_date": "2020-01-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SHAVERRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-543-9988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CLINSCD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Whorley Lassiter, MD
• Pamela Lassiter, PH.D., LPC, LMFT
• Terrence Lassiter
• Andrew Jay Laster, MD
• Christopher Laster
• Paula Jeanette Lastoria, FNP
• Nicholas Vigyan Latchana, M.D.
• Mahvesh Lateef, MD
• Shoaib Sultan Lateef, MD
• Sohail Khaliq Lateef, MD

• Speech-Language Pathologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.